Provider Demographics
NPI:1114542933
Name:REGAL HOME CARE, LLC
Entity Type:Organization
Organization Name:REGAL HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:REID
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:803-369-5803
Mailing Address - Street 1:2546 INDIAN TRL
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29730-8031
Mailing Address - Country:US
Mailing Address - Phone:803-369-5803
Mailing Address - Fax:800-253-1767
Practice Address - Street 1:2546 INDIAN TRL
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29730-8031
Practice Address - Country:US
Practice Address - Phone:803-369-5803
Practice Address - Fax:800-253-1767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-09
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care